Individual
CORRIE SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17201 SE 21ST ST, VANCOUVER, WA 98683-3304
(360) 907-5487
Mailing address
17201 SE 21ST ST, VANCOUVER, WA 98683-3304
(360) 907-5487
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60536017
WA
101YM0800X
Mental Health Counselor
Primary
LH61427204
WA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/21/2014
Last updated
08/10/2024
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